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Primary posterior capsulotomy a viable option for multifocal IOLs in hyperopes

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Michael C. Knorz

KOLOA, Hawaii — Primary posterior capsulotomy with IOL optic buttonholing is a tricky surgery but can have excellent outcomes when implanting multifocal IOLs in hyperopes, a surgeon said here.

"I use primary posterior capsulotomy in hyperopes to avoid secondary cataract and decentration," Michael C. Knorz, MD, said in a presentation at Hawaiian Eye 2010.

With primary posterior capsulotomy, there is no need for a YAG capsulotomy, there are no floaters, and while it has not been reported in the literature, there may be less risk of retinal detachment, Dr. Knorz said.

And with optic buttonholing, "centration now depends on the surgeon and not on the bag dimensions," he said.

He said the surgery has a steep learning curve, but once mastered can have excellent results.

Hawaiian Eye and Retina 2011 will be held January 16-21, 2011 at the Hyatt Regency Maui Resort & Spa in Ka'anapali, Maui. Learn more at OSNHawaiianEye.com.